1. NOVA CHIEFS Pandemic Summery NVRC April 11,2006

2. Preparing for a pandemic requires the leveraging of all instruments of national power, and coordinated action by all segments of government and society.

3. In the last 300 years, the world has experienced 10 influenza pandemics, …three in the last century. * Source: http://www.cdc.gov/flu/pandemic/keyfacts.htmhttp://www.cdc.gov/flu/pandemic/keyfacts.htm † Source: Homeland Security Council, National Strategy for Pandemic Influenza, November 2005

5. Pandemics Do Happen! H1 H3 H2 H7 * H5 * H9 * 1918 Spanish Influenza H1N1 1957 Asian Influenza H2N2 1968 Hong Kong Influenza H3N2 1980 1997 1915 * Avian Flu 2003 2004 1977 19962002 192519351945195519651975198519952005 19981999 2003

6. The Influenza Pandemic of 1918-1919 25-30 percent of the world’s population fell ill 500,000 deaths in the US

7. Nations With Confirmed Cases H5N1 Avian Influenza (March 21, 2006)

8. Migratory Bird Flyways H5N1 in birds… coming soon to a flock near you

9. We do not know whether the H5N1 influenza virus in birds will be the virus that sets off a pandemic. It is still primarily a disease among animals not people. But the signs are worrisome, and we must be prepared. Bruce Gellin, M.D. Director National Vaccine Program Office US Department of Health and Human Services

10. Phases of a Pandemic: Where we are now

11. So far, there is no sustained human- to-human transmission of H5N1 influenza…..but we must prepare. Will a novel influenza virus causing a pandemic present next month or 10 years from now?

12. Iowa State University 1918

13. …a newly emerging influenza virus can wreak catastrophic damage worldwide in a matter of months. Anthony S. Fauci, M.D. Director, National Institute of Allergy and Infectious Diseases

14. ….an infection carried by one person can be transmitted to tens or hundreds of others. For this reason, individual action is perhaps the most important element of pandemic preparedness and response.

15. Issues for the localities Coordination Working closely with: –Local DOH –Business –Schools –State and other localities –Employees and families –Public safety –Infrastructure / utilities –Legal Isolation Quarantine appeals

16. Issues for the localities Human Resources –Decreased staffing Staying home to care for family Operating with 30% loss in workforce Changes in minimum staffing to keep operational –ie medic unit with one EMT-I and one EMT Utilizing those who returned to work, post illness Vaccination /Antiviral distribution Employees and families

17. Fairfax DOH First Responders Working Group Part of the Fairfax County Health Department Pandemic planning group. Mission: Develop and implement a comprehensive plan of action involving all public safety agencies in an effort to operate effectively and cooperatively with other stakeholders as it relates Pandemic Flu both locally and regionally.

18. First Responders Working Group Tasks identified –Education internal & external IB, handouts on front line equipment Cable, AM advisory radio –Staffing –Behavioral Health –Family Issues/ Sick leave

19. First Responders Working Group Tasks identified: –Post exposure –Hospitals /Reroute/ Surge capacity Fever centers Non-transport criteria or transport to alternative sites –Risk Management workers comp. –Isolation / quarantine –Cache of PPE in stock and vendor availability 6-8 week supply

20. NCR October 2006 PanFlu FE Participants: –DPH –Hospitals –Emergency Mgt. –Transportation –Public Safety Fire & EMS –State Police, Local Law Enforcement –National Guard –Federal Partners

21. Estimates & Assumptions Duration of Pandemic 1-1.5 years Duration of epidemic in community 8 weeks, will come in waves Illness rate 25 to 30 % 50% will seek medical care Average hospital stay 7-10 days.

22. Work with other credible sources. Conflicts and disagreements among organizations and credible spokespersons create confusion and breed distrust. Coordinate your information and communications efforts with those of other legitimate parties.